Open AccessLumbosacral Spondylodiscitis- An Atypical Localisation of SalmonellaTyphi Infection: A Case Report
Author(s) -
Sruthi Vinayan,
Vimal Kumar Karnaker,
V Sreelatha,
Sanjana U. Nair
Publication year - 2020
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2020/45540.14150
Subject(s) - spondylodiscitis , discitis , medicine , typhoid fever , salmonella typhi , ceftriaxone , salmonella , osteomyelitis , tuberculosis , lumbosacral joint , meningitis , magnetic resonance imaging , surgery , pathology , radiology , antibiotics , microbiology and biotechnology , biology , bacteria , biochemistry , genetics , escherichia coli , gene
Salmonella belongs to the family Enterobacteriaceae. The various members of the genus cause diseases that are important public health problems. Apart from causing typhoid, Salmonella can cause an array of diseases ranging from osteomyelitis to meningitis, though rare. Herein, authors report one such uncommon scenario, in an otherwise healthy 40-year-old female who presented with lower back pain. Magnetic Resonance Imaging (MRI) was suggestive of lumbosacral spondylodiscitis and she underwent a spine stabilisation surgery. The pathogen was confirmed to be Salmonella Typhi by microbiological workup. She responded well to treatment with ceftriaxone. This case report implies the significance of culture studies in the early management of the patient. It is imperative for the diagnosis, as the symptoms of the aforementioned disease are usually non-specific and imaging studies are indiscernible from spine tuberculosis.